Ashley Brooke Crocker, RN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner" in Glasgow Ky, Kentucky. Her current practice location is
1301 N Race Street, Glasgow Ky, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(615) 917-7598.
Ashley Brooke Crocker is licensed to practice in Kentucky (license number 4009279) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396520839.
Provider's Profile
| Full Name | Ashley Brooke Crocker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1301 N Race Street, Glasgow Ky, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396520839
- Provider Enumeration Date: 08/30/2023
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971946450
- Enrollment ID: I20240212003787
Medical Identifiers
Medical identifiers for Ashley Brooke Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396520839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4009279 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 4009279 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Brooke Crocker allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285 |
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| Entity Name | Urgent Care Services Southeast Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427831759
PECOS PAC ID: 0345694766
Enrollment ID: O20231003002701 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Brooke Crocker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ashley Brooke Crocker, RN, MSN, FNP-BC
3009 Stagner Ln,
Bowling Green, KY 42104-4224
Ph: (615) 917-7598 | Ashley Brooke Crocker, RN, MSN, FNP-BC
1301 N Race Street,
Glasgow Ky, KY 42141
Ph: (615) 917-7598 |
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